Inspection on 13/07/06 for Holly Lodge Care Home

This inspection was carried out on 13th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holly Lodge Care Home 06/02/06

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Holly Lodge Care Home Holly Lodge Care Home Chapel Street Shildon Co Durham Lead Inspector Ms Kathy Bell Unannounced Inspection 13th and 17thJuly 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holly Lodge Care Home Address Holly Lodge Care Home Chapel Street Shildon Co Durham Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01388 779265 Dolphin Properties Co Ltd Karen Hunter Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Manager: must ensure that no service user whose assessed condition identifies nursing needs, will be admitted. The only exception to this is where those nursing needs can be met by the community nursing services. 6th February 2006 Date of last inspection Holly Lodge is a new purpose built home situated in the village of Shildon. It provides care for up to 40 older people. Nursing care is not currently provided but may be provided in the near future. At the time of the inspection there were 18 residents who all live on the upper floor of the building. All the rooms in the home have en-suite facilities. There are local shops and facilities in the village of Shildon. The home currently charges between £379 50 and £425 a week. This information was provided to CSCI in May 2006. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during two days in July 2006. It was unannounced and was the one inspection planned for this year. During the visit, the Inspector, Kathy Bell looked around the building (although not every bedroom) and looked at records in the home. She spoke with six residents and three relatives and also received responses to a questionnaire from nine residents and 11 relatives. Almost all the comments made were positive I am more than happy and content here , a great place. The less positive comments were about the level of activities available for people in the home and about staffing levels. Kathy Bell also spoke with three care staff and the cook, as well as the manager. What the service does well: What has improved since the last inspection? What they could do better: The home will need to provide more information to residents about the fees payable and what they include by October, when the new regulations come into effect. The manager must continue to keep staffing levels under review, taking into account the extra work staff do apart from direct care. She has taken steps since the inspection to address this. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 6 Staff must look at each persons needs for recreation and occupation and consider how they can meet these. Information on dietary needs and preferences must be kept in the kitchen so that anyone who may be responsible for meals has this information. A record must be kept of the meals provided, including any special diets so that the home can show it is meeting peoples nutritional needs. When the home allows new staff to begin work while they are waiting for a criminal records bureau check it must record who is responsible for their dayto-day supervision. The companys procedure on recruitment must provide information on Criminal Records Bureau and Protection of Vulnerable Adults checks and the arrangements for supervising staff until all checks are completed. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents received enough information about the home before they moved in so that they could decide if it was the right choice for them. Residents needs are assessed before they move into the home so that the home can be sure it will be able to meet these needs. This home does not provide intermediate care so this standard was not assessed. EVIDENCE: The home has a Statement of Purpose and a Service User Guide which provide information about the home. These provide the information required at the moment but will need to be changed soon so that the home meets new regulations about providing more information on fees. Almost all the residents and relatives who commented said that they did receive enough information about the home before the resident moved in. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 9 Before anyone is admitted, a care manager assesses their needs and the home keeps the record of this assessment on file. This is essential to make sure that the home only admits people when it can meet their needs. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The help each person needs is recorded in their care plan so that staff know what they need to do for each resident. Staff make sure that residents receive the health care they need. The home has systems to look after and give out residents medication safely. Residents feel that they are treated with respect. EVIDENCE: All the care plans seen included detailed information about the help each person needed with their personal care, including whether they needed any equipment to move around. These care plans included details of residents sight and hearing and staff recorded any medical problems. Staff looked at whether residents were at risk of developing pressure sores and whether they needed special help with their diet to maintain their weight and health. The care plans were reviewed monthly and the manager made sure that this happened. Extra recording was done when necessary, for example when a residents behaviour caused concerns, to make sure that staff were aware of Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 11 whether a problem was becoming worse or not. Brief information about individual interests was recorded but staff should include their assessments of residents needs for recreation and occupation and explain how these will be met . Staff explained how they kept up-to-date with any changes in care plans and showed that they were aware of the support needed by residents. All but two of the residents who commented felt that they always received the care and support and medical attention they needed. I just have to ask for help and its there. The other two said they usually did. All but one of the relatives who commented said that residents always received the medical support they needed. The other said that they usually did so. Clear records are kept of when each resident sees a doctor or nurse and the advice or treatment which is given. Records showed that after admission, staff looked at whether people had had recent checkups for sight, hearing etc and arranged these if they were needed. There are satisfactory arrangements for the storage, handling and recording of medication. All the staff who handle medication have received training in this. The manager is aware of the importance of systems for checking that medication is handled correctly. When possible, residents can look after their own medication. The home assesses the risks of this for any individual, seeks agreement from their GP and sets out how it will monitor to make sure that the resident continues to be safe to manage their own medication. All the relatives who commented said that staff always treated their relative with respect. One resident said that she was very much treated with respect. All the residents confirmed that staff respected their rights to choose their daily routine, when to get up etc.. Care plans recorded whether people wanted to be cared for by a person of the same gender and the home does employ male carers so that male residents can receive care from a man if they prefer this. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is improving its abilities to meet peoples needs for recreation and an interesting life but more should be done to identify suitable activities, based on individual choices and needs. Residents can keep up contact with their families and go out into the community if they are able. Residents said that they could make choices about their daily lives. Meals are satisfactory, generally enjoyed by residents and choices are available Staff are aware of the need to maintain a good diet for all residents . EVIDENCE: The manager has kept a detailed record of social events, concerts, trips out etc. Sometimes residents can share activities with the nearby home run by the same company in a nearby town. A bus is made available by the company to take people out for set weeks in each year. However the manager has found that usually only a few residents take part in trips out. Other activities have been arranged in the home, such as quizzes but other everyday activities have proved to be less successful with residents. This explains the view of a number of residents and relatives that the home only sometimes arranged Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 13 activities which they could take part in. But they all recognised that not everybody was interested in arranged activities. Many residents continue to occupy themselves as they did at home, with TV, visitors etc. but there was a feeling that more could be done. More therapy and staff needed. The home is recruiting an activities organiser to help provide a more fulfilling life for residents. The manager should start by looking at each persons recreational needs and wishes as part of their care plan and decide how best the home can meet these needs. Many relatives visit the home on a regular basis and a coffee shop is available for visits, with facilities for making drinks. One relative said I am always made to feel at home. A few residents have been able to continue visiting social events in the village which they used to go to when they lived in their own homes. Residents said that they could choose when they got up, when they went to bed etc. They could choose whether to spend time in their rooms or with other people and could eat in their rooms if they wanted to. You can get up when you like. On one day of the inspection, the cook was making breakfast for one resident at about 10:30 a.m., which showed that the home was able to provide breakfast whenever a resident wanted it. A choice of two main meals is offered each day. Most residents and relatives said that the meals were always or usually satisfactory. One negative comment may have come from a recent period when the cook was working at another home temporarily and other staff were covering for him. The cook was aware of individual needs but information on these should be kept in the kitchen so that anyone who may be preparing food is aware of them. He is aware of good practice guidance on catering for people who need special diets to keep up their weight. He described how he asks for feedback from residents about the meals so he can be sure he is providing the food the way they want it. Records are kept of the meal choices made each day but more detail should be included in this so that the record shows whether special dietary needs were met. Most staff have completed food hygiene training. Records are kept of the required checks of the temperature of food served and of freezers and refrigerators. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Relatives and residents have felt confident about expressing their views and the home keeps records of complaints and the action taken in response to them. The home takes all reasonable steps to protect residents from abuse. EVIDENCE: The home has a complaints procedure and information on this is provided to residents and relatives. All those who commented were clear that they knew how to complain if they wanted to. The manager keeps records of how she has responded to complaints and records whether the complainant was satisfied with what she had done. The home carries out the required checks to make sure that only suitable people are employed. Staff have received training from the company to make sure they are aware of what is considered abuse and what they should do if they see or hear of any abuse. The manager took correct action when a referral had to be made under local adult protection procedures. The companys procedures stop staff being involved in residents financial affairs or receiving gifts or legacies. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The home provides a comfortable and attractive place to live with plenty of private and shared space. The home is kept clean and hygienic. EVIDENCE: The home was purpose-built to provide care for older people. All the bedrooms are single and of a good size. They each have an ensuite toilet which is big enough for staff to help people if they need it. There is a lounge and dining room on each floor and a coffee lounge downstairs which can be used by visitors as well. There is an accessible garden at the front of the building. The home is decorated and furnished to a good standard and in a domestic style . Each bedroom door is fitted with a magnetic catch so that residents can leave their doors open if they want to without affecting the fire safety system-if the fire alarm sounds the doors close automatically then. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 16 The home appeared clean on the day of inspection. Fifteen of the residents and relatives who commented said that it was always fresh and clean, the other three said it usually was. One resident said it was immaculate. The staff confirmed that they had enough equipment to prevent the spread of infection and this was readily available to them. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staffing levels seem satisfactory to meet personal care needs at the moment, but the manager should look at how much time staff have to meet residents needs for recreation etc . She must continue to keep under review staffing arrangements as the number of residents increase. In the two weeks following the inspection she has informed CSCI of improvements in staffing arrangements. The home has not yet achieved the recommended level of qualified staff but is working towards this. Residents praised the personal qualities of staff and the way they were treated . The home make sure it carries out checks on new staff so that only suitable people are recruited . The home makes sure that staff receive the training they need to do their jobs. EVIDENCE: Staffing levels have been being increased gradually as more residents have been admitted. The home has not yet employed extra staff for particular duties, such as an activities organiser or full-time laundry worker which has meant that extra demands were placed upon staff. No catering or domestic staff were on duty after 4 p.m. which meant that care staff had to serve the Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 18 evening meal (which was already prepared by the cook) and clear up afterward. Also, when the manager or administrator are not in their offices by the main entrance, staff have to come down to let in any visitors. At the beginning of the inspection, 18 residents were living in the home and there were two care staff on duty throughout the day and evening with an extra person on duty from 8 to 11 a.m. and 4 to 6 p.m.. The following week, two extra residents had come in for respite care and there were three staff on duty through the day and evening. With these staffing levels, staff seemed generally able to meet personal care needs . However they said that it was harder to spend time with people when there were only two staff on duty and found this improved when there were three staff. Some relatives commented on staffing-staff very busy could do with more , staff work very hard but still could do with more help. The inspector advised the manager that she should maintain three staff on duty and keep staffing under review. The manager has since advised the inspector that she has kept three care staff on duty all day, has increased domestic hours, has a laundry worker five days a week and is interviewing for an activities organiser at the beginning of August. These improvements should help staff to provide a good standard of care. Residents and relatives praised the way staff did their jobs. Comments included attentive to detail, they work well together, lovely, staff are always happy and pleasing and sensitive and caring attitudes. The National Minimum Standards recommend that 50 of the care staff in each home have NVQ 2 in care. Four of the care staff already have NVQ 2 or 3 and nine others have nearly completed NVQ 2. The home is therefore close to achieving a good level of qualification for staff. Records of staff employed showed that the company carries out the required checks before they employ staff. However they were not fully complying with the Regulations which allow homes to employ staff after they have received confirmation that the staff are not on the Protection of Vulnerable Adults list (people who must not be employed as carers) but before they have received the Criminal Records Bureau check back. Homes are allowed to employ staff in these circumstances if they need new workers but must clearly record the arrangements for the supervision of the new carers until a Criminal Records Bureau check is received. The manager had not been recording who was responsible for the day-to-day supervision of the few staff this applied to. The home has a training programme which has ensured that all but the newest staff have had training in key areas such as food hygiene, moving and handling and infection control. Where staff have not had external moving and handling training the manager has provided training in the use of equipment. She Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 19 advised the inspector that she updates her training as a trainer so that she is competent to do this. Nine staff are currently doing a valuable course in dementia and most have completed training in the safe handling of medicines. Most staff have had training in first aid and health and safety. Some staff have also had training in specific areas such as death and dying, Parkinsons Disease, falls prevention and deaf awareness. Individual records are kept of training undertaken and training needs are looked at in one-to-one supervision sessions. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The manager has the qualifications and experience to run the home and has the confidence of her staff. There are systems to find out whether the home is meeting peoples needs, including surveys of their views. Residents financial interests are looked after. The manager ensures as far as possible that the home is a safe place to live and work in. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has approximately 5 years experience as a manager of care homes and has achieved the recommended qualification of NVQ 4 in care and management (Registered Managers Award). Staff said that they felt able to raise any issues with her. The company which runs the home carries out the required monthly visits to check that the home is running in the way they expect. Every three months they carry out a survey of residents and they also have residents meetings. The manager said that the home does not look after any residents personal money at the moment. The company has proper procedures which stop staff from involvement in residents financial affairs or benefiting from gifts or wills. The manager keeps accounts of the amenity fund and said that these are checked monthly by the companys auditor. Routine maintenance and servicing of equipment is carried out and a full risk assessment has been completed for the building. Weekly and monthly health and safety checklists are completed and the fire safety system is checked at the recommended intervals. Staff receive fire training twice a year. As the home was purpose-built, it was designed with safety features such as low surface temperature radiators and the temperature of hot water is controlled and checked regularly. Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 2 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 4 Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 Requirement The home must provide additional information to residents about fees payable by October to comply with amended Regulations . Care plans must include information on residents recreational needs and how the home will meet these . Information on residents dietary needs and preferences must be available in the kitchen. Records must be kept of meals taken by residents in enough detail to show whether they receive a satisfactory diet and if any special needs are met . Staffing numbers and deployment must be kept under review and increased when necessary. Arrangements for supervising staff who begin work before a full Criminal Records Bureau is received must be recorded. The companys recruitment procedures must include DS0000063875.V299942.R01.S.doc Timescale for action 01/10/06 2 OP7 15 01/09/06 3 OP15 12 & 17 01/09/06 4 OP27 18 01/09/06 5 OP29 18 01/09/06 Holly Lodge Care Home Version 5.2 Page 24 guidance on Criminal Records Bureau and Protection of Vulnerable Adults checks. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Holly Lodge Care Home DS0000063875.V299942.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!